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NPI Code Detail

MEDICARE: DR. JOSEPH PETER GICHUHI

MEDICARE: DR. JOSEPH PETER GICHUHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1720277882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH PETER GICHUHI
Provider Business Mailing Address
First Line : 14700 MANZANITA RD
Second Line :
City : BEAUMONT
State : CA
Zip : 92223-3026
Country : US
Telephone Number : 951-845-3155
Fax Number : 951-845-8412
Provider Business Practice Location Address
First Line : 14700 MANZANITA RD
Second Line :
City : BEAUMONT
State : CA
Zip : 92223-3026
Country : US
Telephone Number : 951-845-3155
Fax Number : 951-845-8412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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Directions to “ DR. JOSEPH PETER GICHUHI ” Practice Location

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